Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.40 / $42.40 / $42.40	Facility	26	$42.40	$42.40	$42.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.16 / $318.02 / $586.61	Professional		$287.16	$318.02	$586.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.40 / $45.85 / $83.06	Professional	26	$42.40	$45.85	$83.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $244.76 / $271.23 / $334.82	Professional	TC	$244.76	$271.23	$334.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.65 / $50.15 / $50.15	Professional	26	$46.65	$50.15	$50.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.27 / $364.00 / $518.44	Professional		$302.27	$364.00	$518.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.65 / $72.00 / $144.00	Professional	26	$46.65	$72.00	$144.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $244.05 / $265.86 / $368.56	Professional	TC	$244.05	$265.86	$368.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.94 / $395.43 / $663.76	Professional		$307.94	$395.43	$663.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.37 / $69.03 / $108.45	Professional	26	$50.37	$69.03	$108.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $257.57 / $333.76 / $563.04	Professional	TC	$257.57	$333.76	$563.04
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $77.13 / $93.00 / $162.38	Facility	26	$77.13	$93.00	$162.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,066.15 / $1,066.15 / $1,066.15	Professional		$1,066.15	$1,066.15	$1,066.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.02 / $301.92 / $407.32	Professional		$41.02	$301.92	$407.32
United Facility/Professional Professional Modifier Low / Median / High Price $300.52 / $416.23 / $639.04	Professional		$300.52	$416.23	$639.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.87 / $63.22 / $101.67	Professional	26	$47.87	$63.22	$101.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $249.15 / $350.65 / $548.38	Professional	TC	$249.15	$350.65	$548.38